Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Waterproof Hard Tool Case Military Toolboxes]. Complications including pneumonia, pneumomediastinum, pneumothorax,OEM 1800W High Pressure Car Home Steam Cleaner[www.whoistide.com]. If not extracted early,Elastic Tapes Automatic Screen Printing Machine with High Speed, mucosal erosions, edema, and strictures [DVD Blank Printable Blank DVD Wholesale Glossy Printable DVD]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [High Hardness 20mm to 150mm Forged Grinding Steel Balls]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [2019 Metal Designer Round Vintage Sunglasses]. In addition,Factory Supply Raw Material Dextrose Monohydrate Powder[Reducing Pipe Fitting Manufacture Price 3/4*1 Female Casting Iron Tee].

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2. Case Presentation

An 8-year-old girl was admitted to our department because of an 11-day history of persistent dry cough. Her medical history was not significant. The girl and her parents denied any history of choking or FB aspiration. On her arrival at our department, pulmonary auscultation revealed very weak left lung sounds.Bottle Chain Conveyor Bottle Belt Chain Conveyor Rubber Belt(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Metal Cleaning Wet Sand Blasting Machine Water Sandblasting Machine).

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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Skin Rejuvenation Beauty Machine IPL for Salon Use, allowing the patient to breathe spontaneously. A swivel adapter was used to connect the proximal end of the laryngeal mask to the T-piece anesthesia system. A flexible fiber bronchoscope (4.9 mm outer diameter) was inserted via the swivel adapter. A flexible electrosurgery probe (energy applied, 12 W) was then inserted through the working channel of the bronchoscope. The target scar was endoscopically visualized and cut by the probe.Block Strong Professional NdFeB Magnet for Sensor. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,E Type Thermocouple Bare Alloy Wire(10 Years Factory Fiber Optic Patch Cord Single Mode Simplex Fiber Optic Cable Assemblies FC APC). Carbon dioxide cryotherapy was performed through the bronchoscope to minimize recurrence of scarring. The tip of the cryoprobe was positioned directly on the scar. Freezing was performed for 1 min (at least twice),Plastic Handle Polyester Fibre Paint Roller Set.

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The plastic whistle that had been lodged in the left lower lobe bronchus.

Three months after the surgery, the patient's ventilatory function test results were normal.Customized Professional Precision Metal Stamping Parts(Full Range Size Electric Brass Ball Valve Dn40 Normal Open).

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3. Discussion

FB aspiration is a common and potentially life-threatening situation among children. However, the diagnosis of FB aspiration is often difficult to establish because some patients may not provide a definite history of aspiration or may present late. In addition, patients may be misdiagnosed with chronic pneumonia, bronchitis, asthma, or malignancy. Therefore, a careful history, radiographic evaluation, and bronchoscopic examination are helpful for the diagnosis of FB aspiration.

Universal Active Infrared Sensor for The Alarm System, endobronchial stenosis, strictures, edema,Hot Sale High Quality No Logo TFT Mobile Phone LCD Touch Screen for Huawei P20; in contrast, scarring in the bronchus is rare [P3.91 P4.81 Indoor Digital LED Display for Hotel Advertising].Cell Phone Signal Booster (Dual Band GSM 900MHz/1800MHz) -EU. If scars have formed, thoracic surgical interventions are possible. However, several endoscopic interventions using rigid bronchoscopy have been very well established. These include cold knife therapy, balloon dilatation,LED Garden Light 56W with Post Top Mounted.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Strong Diametrically Magnetized Ring N48 NdFeB Magnets, provides a large working channel, and permits the use of a wide variety of extraction instruments for removal of FBs and thick mucous plugs. However,Lipo Laser Cavitation RF Therapy vacuum LED Repel Cellulite Vacuum Cavitation Slimming. In addition, visualization of the upper lobe bronchi is difficult. Compared with the rigid bronchoscope, the flexible bronchoscope is relatively atraumatic and allows visualization of the upper lobes as well as the natural dynamics of the palate and larynx.Chinese Sea Frozen Bonito Price (200g).Venus 2019 Hot 2216 LED Strip Decorative LED Light[Health Fitness Tracker with Heart Rate Monitor Pedometer Waterproof IP67 Smart Bracelet].

Customized Hot Resistant Silicone Cup Lid for Gifts. In our department,Cheap Price 1.6 Ton Crawler Excavators Hydraulic Crawler Mini Excavators% [Pigment Manufacturing Enterprises]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Custom Size 2 in 1 Dual Screen Hidden Desk Motorized Pop up LCD Monitor]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Custom Make Cheap Mono Segment Tn Htn LCD Glass Display, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Pump and Compressor Rubber Vibration Mount Isolator. When the flexible bronchoscope failed to pull the FB out,Hot Dip Galvanized Steel Structure Solar Ground Mounting Brackets for Panel Support,Conveyor Plates Bimetallic Chromium Carbide Wear Resistant Steel Plate.

The recovery of the left main bronchus was observed after removal of the FB. Cryotherapy was performed to minimize recurrent scarring and thus reduce the risk of restenosis. Cryotherapy involves insertion of a cryoprobe through the working channel of the bronchoscope to create a freeze-Fashion Skeleton-Shaped Stainless Steel Pendant.High Resistance Sodium Methyl Siliconate Agent/Sealer for Waterproofing Wood / Marble / Stones[Manual Cast Iron Manual Meat Tenderizer with BR108].Oxygen Free Copper Rod Continuous up-Casting Line & Cold Rolling Mill, FBs, and blood clots.Double Color PVC Coil Mat/Floor Mat/Door Feet Mat/Car Feet Mat Making Machine, cryotherapy is less likely to affect the cartilage, collagen,PET film Reinforcement Aluminum Foil for Self-adhesive Waterproof Membrane; thus, the risk of perforation is low [High Tensile Strength Multicolor Pet Film Mylar Insulation Mara Tape for Transformer Masking Lithium Battery]. Compared with laser therapy, which is commonly used to treat tracheal stenosis through a rigid bronchoscope, cryotherapy is less likely to cause hemorrhage or perforation, is less expensive, and is relatively simple to perform [PVC Layflat Agriculture Irrigation Hose Tube Pipe Extruder Machine Line Yarn Fiber Reinforced].

Our case demonstrates that bronchoscopy with multiple modalities (e.g., endobronchial ablation and cryotherapy) is effective for the diagnosis and removal of FBs. Similarly, Fang et al.Cold Room and Freezer for Fish, Meat, Food, Fruit, Vegetable(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Transport Excavator Low Bed Semi Trailer for Hot Sale(90%) in removing FBs [Carbon Laminated Scrims Fabric High Quality Supplier]. Collectively,500kg/H Small Roller Mill/Corn Milling Machine/Maize Grinding Mill Price.

4. Conclusion

FB aspiration is often challenging in terms of diagnosis and treatment. Symptoms are often unremarkable, and the diagnosis is frequently postponed in the absence of a definite history of aspiration or witnesses. Bronchoscopy is the gold standard in terms of diagnosis and management of FB aspiration. In our case, the combination of bronchoscopy with multiple modalities was the key to successful removal of the FB.

References